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Individual

DIANE C LONGOBUCCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-5414
Mailing address
44 TWINING FARM LN, TORRINGTON, CT 06790-7106
(860) 482-9897

Taxonomy

Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
E47415
CT
163WM0102X
Maternal Newborn Registered Nurse
E47415
CT
163WN0002X
Neonatal Intensive Care Registered Nurse
E47415
CT
163WP1700X
Perinatal Registered Nurse
E47415
CT
363LN0000X
Neonatal Nurse Practitioner
001153
CT

Other

Enumeration date
12/21/2006
Last updated
09/11/2025
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